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HomeMy WebLinkAboutBUSINESS PLAN 2/1/1997 SITE DIAGI::L~M FACI IAGRAM I~uaness Nome: ~,~ ~'7._ ,,~O'-c-o f~C---,,~x~, ~'. " Buane~ AC:Cress: ~0'-) ~ C__~,~,zAJ~,~ ~,../ For Office U~e Only BAKERSFIELD FIRE DEPARTMENT July 21, 1998 I:I~E CHIEF MICHAEL R. KELLY ~' :Mr. Henry Chatman ~uiN~.n~n m~ncm 901 Russell Avenue 2101 'H' Street Bak~r~, c^ 93,~m Bakersfield, CA 93307 (805) 326-3941 FAX (8~) 395'1349 RE: 307 East California Avenue in Bakersfield 2~o~ ',' ~eet Dear Mr. Chatman: Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 This office has been informed by the property owner that a hazardous ~'vmnON S~mC~S waste, used motor oil, generated by your business at the site, has not been 1715 Chester Ave. properly disposed of. Bakersfield, CA 93,301 (805) 326-3951 fAX C805)326-0576 Within 48 hours of this notice, please make the necessary arrangements to have the used motor oil properly disposed of by a licensed hazardous waste 1715 Chester Ave. hauler. Bakersfield, CA 93,301 (805) 326-3979 FAX (805)326-0576 If you have any questions or would like assistance is selecting a proper disposal company, please call me at 326-3979. TRAINING DIVISION Bakersfield, CA 93308 Sincerely, (805) 399-4697 Howard H. Wines, III Hazardous Materials Specialist Office of Environmental Services HHW/dm Ha~ ~v~t Em¢~g ~pfll l~po~t Complaint B A K ~ R S F [ ~ ~ ~vim~en~ Se~i~s ~ ~ H~ Mat Incident / Spill Repo~ / Complaint Follow Up Repor~ P~y ~~ ~ ~~ En~onmen~l Se~ic~ Addr~s ZT~ A~~ ~ Telephone No. ~ ~ ~ - Z 3 ~ 4 ~ ~ ~ Descrip~on of ~e ~cident ( Chemi~l name and Quanfi~ ) Responding to Incident Y Observations ~O Special Conditions ~nd I or h~l~ Haz Mat Team Dispatched Y N Van Cellular No. 332-7865 OES Number Required Y N Number Poss Exposure Victims Medical Attention Required or Obtained Probable Hazardous Waste Clean Up '~ N Discussion and Disposition ~ (~~ ~ (-~.Cl~O o_~t_-c~ f-~t~'-~r' d, %rD ~<q Referral ? STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 9990i-0000 (805) 326-3979 DATE: 6/30/97 TO: OOMEZ AUTO REPAIR 6726 1/2 LEMP AVE N HOLLYWOOD, CA 91606 CUSTOMER NO: 6875 CUSTOMER TYPE: ES/ &875 CHAROE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/01/97 BEQINNINO BALANCE 110.00 FOR QUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 110.00 DUE DATE: 7/30/97 PAYMENT DUE: 110.00 TOTAL DUE: $110.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 6/30/97 DUE DATE: 7/30/97 REMIT AND MAKE CHEC~ PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 6875 CUSTOMER TYPE: ES/ 6875 TOTAL DUE: $I10.00 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD i501TRU×TUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 5/01/97 TO: ~OMEZ AUTO REPAIR 307 EAST CALIFORNIA AVENUE BAKERSFIELD, CA 93307 CUSTOMER NO' &875 CUSTOMER TYPE: ES/ 6875 cHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 4101/97 BEQ~NNINQ BALANCE II0.00 FOR QUESTIONS OR CHANQES Tn YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 ii0.00 DUE DATE: 6/02/97 PAYMENT DUE: Ii0.00 TOTAL DUE: $110.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 5/01/97 DUE DATE: 6/02/~7 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKeRSFiELD CA ~3303-~057 CUSTOMER NO: 6875 CUSTOMER TYPE: ES/ 6875 TOTAL DUE: $110.00 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 4/01/97 TO: QOMEZ AUTO REPAIR 307 EAST CALIFORNIA AVENUE BAKERSFIELD, CA CUSTOMER NO: 6875 CUSTOMER TYPE' ES/ 6875 ~----'---CI:FA~ ~A ION ?- N~F:NOMB~~.A-MOONT 3/01/97 BEQINNINQ BALANCE 110.00 FOR QUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 110.00 DUE DATE: 5/01/97 PAYMENT DUE: 110.00 TOTAL DUE: $110.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 4/01/97 DUE DATE: 5/01/97 REMIT AND MARE CHECK PAYABLE TO: CITY OF BAKERSFIELD P. 0. BOX R057 BAKERSFIELD CA ~3303-~057 CUSTOMER ND: &875 CUSTOMER TYPE: ES/ &875 TOTAL DUE: $110.00 STATEMENT DF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) G26-3979 DATE: 3/01/97 TO: QOMEZ AUTO REPAIR 307 EAST CALIFORNIA AVENUE BAKERSFIELD, CA 95307 CUSTOMER NO: 6875 CUSTOMER TYPE: ES/ 6875 CHARQE DATE DE-~'RXP~IoN ....... RE~-NUM~ER'~DUE DATE TOTAL AMOUNT 0/00/00 ~EQINNIN~ 9ALANCE 122,21 HNO05 2/13/97 Charge adjustaeni 2/13/97 ADMIN SERVICE FEE HMO05 2/13/97 Charge adjustment ~/13t~7 i. IO-- FINANCE CHARQE FOR QUESTIONS DR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER &O OVER 90 110.00 DUE DATE: 3/31/97 PAYMENT DUE: 110.00 TOTAL DUE: $110.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE ~(~~~.~ DATE: 3/01/97 DUE DATE: 3/31/97 ~ FFJ REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O, BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 6875 CUSTOMER TYPE' ES/ 6875 TOTAL DUE: $I10.00 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 150i TRUXTUN AVE BAKERSFIELD, CA 95~0i-0000 DATE: 2/01/97 TO: gOMEZ AUTO REPAIR 307 EAST CALIFORNIA AVENUE BAKERSFIELD, CA 93307 CUSTOMER NO: &875 CUSTOMER TYPE: ES/ 6875 CHARGE DATE DESCRIPTION REF-NUMB£R. DUE DATE TOTAL AMOUNT 1/01/97 BE~INNIN~ BALANCE 110.00 HMO05 2/01/97 ADMIN SERVICE FEE 11. I1 PNO 11 HMO05 2/01/97 FINANCE CHAR~;: 1. 10 FCO 11 FOR 9UESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP DF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER i-2.--2o! DUE DATE' 2/03/97 PAYMENT DUE: TOTAL DUE: PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: ~/01/c27 DUE DATE: ~/03/~7 REMIT AND MAKE CHEC½ PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA ~3303-2057 CUSTOMER NO: 6875 CUSTOMER TYPE: ES/ 6875 TOTAL DUE: $1~.21 BAKERSFIELD CITY FIRE-DEPARTMENT HAZARDOUS MATERIALS DIVISION ~,"~'Y'- r~,~.~,,, :I. 715 'CHESTER"./~VE.; ~ 0"7 BAKERSFIELD, CA. 93301 ,- INSTRUCTIONS: i. TO avoicl turther action, return this form within 30 days of receiDt. 2. ~PEtPRINT ANSWERS IN ENGLISH. 3. Answer me auestions ~elow for t~e ~us~ness cs a whole. 4. 5e Drier ana conc~e cs Do.iDle. ,/ SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: LCCATiON' ZZ (_~ '"'7 ~.,, ,. ~,l.,-,i =. ~ Z!?: PHONE: ..., ~x~,,'~xzz~ NUMBER:. SIC '7_,ODE: SECTION 2: EMERGENCY NOTIFICATION' CONTACT TITLE BUS PHONE '"4. . .', HR. PHONE -- t~rcmu~ HAZARDOUS MATERIALS MANAGEMENT PLAN ' : SECTION 3: TRAINING: NUMBER OF-EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: LLANTAS USADAS ELECTRIC SHORTS REPAIR TUNE-UPS * BRAKES AN~) LIGHTS COMPLETE ENGINE AND TRANSMISSION 307 CALIFORNIA AV. (805) 324-8009 BAKERSFIELD, CA 93307 VICENTE CORDERO SECTTON 4: EXEMPTION REQUEST: : CERTIFY UNDER PENALTY OF PERJURY'U -' ' i,,A~ MY BUSINESS IS EXEMPT FROM THE --' ,.,.g,., OF THE "CALIFORNIA HEALTH & ~E?ORT[NG Rr_'~UIREMENTS OF CHAPTER ~' = $AFETY CODE" FOR THE FOLLOWING REASONS: ,.V~ DO NOT mANCL~ HAZAROCUS MAic:.dALS. WE DO HANDLE HAZARDOUS MATERIALS, ~UT THE GUANTITiES AT NO ~MEE:(CEE'D n~ MINIMUM RTING QUANTITIES. 3.,'-':=:.~ ,,,~:=r",,,'z_v .qEA$CNI SECTION 5: CERTIFICATION: i, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. i UNDERSTAND THAT THIS INFORMATi©N WILL BE USED TO FULFILL MY F~RM'S OBLIGATIONS UNDER THE "CALIFC)RNIA HEALTH AND SAFE:FY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25E,00 ET AL.) AND THAT INACCURATE INFORMATION. CONSTITUTES PERJURY. SIGNATURE TITLE OATE. - ..... Hazardous Materials Division HAZARDQU,.% I~ATEP, IAL$ MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCE. DURE$: B. EMPLOYEE NOTIFICATION AND E"/ACUATION: C. ?UBL!C :',/ACUATIO N: t~°~c'--[4 "0oo~ ~ r~C-C--c ~- /xJ c-~ C/%~JFL ~ 4_0 ,2,. z:"vl ERG EM C'./ MEDICAL --Ha~azdous Materl~ds Divksion HA~EDO'US MATEEIALS MANAGEMENT P~N SECTION 7: MITIGATION, PEEVEN~ON AND ABATEMENT PLAN: A. RELEAS~ PREVENTION STEPS: " RELEASE, CONTAINMENT AND/OR MINIMIZATION: ,.. ,..., , ?.q ,,.,. ,_.,.:/',N-UP OCEDURE~: ( SECTION $: UTILITY SHUT-OFFS (LOCATION CF SHUT-,OFFS AT YOUR FACILITY)' NATURAL ',SAS/?RQ PANE: ~"/'//'~ ELECTRICAL: ~V~, t ~.~ LOC',< S,-.X. v,"-',,,~ '- 'v=~ L©CATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: ¢,d o¢'¢"~C..~' ,~ %.,~..~.¢:, ..g,A,~ "'-'cz,~6 B. WATER AVAILABILEY (FIRE HYDRANT)' ,~s's ST~ZC~T- ~T- GAg BAKERSFIELD CITY FIRE DEPARTMENT , H DOUS MATERIALS .INVE 'ORY. Page_~of~--~ CHEMI~ DESCRI~ON 1) IN~RY STA~: N~ ~n [ ] R~n [ ] ~n ( ] C~ ~ ~ ~ a ~N ~.S~ [ ] ~'' ~ S~R~~ [ ] C~m~ N~: ~M [ ] CAS 4) PH~ICAL & H~ PHYSIC~ H~ H~DCA~RIES Rm ~ Re~[ ] S~nRele~P~ure [ ] Im~He~,~) [ ] ~H~hmnM) [ ] · 5) WAS~ C~SSIRCA~ON (~ ~e ~m OHS Fo~ 80~) USE CO~ 6) PHYSIC~STA~ ~1~ [ ] ~q~ ~ ~ [ ] Pure ~ M~ [ ] W~ [ ] ~ [ ] Ave~ 0~ A~um: ~ cunes[ ] b) Pm~um: ~n~ A~unt: ~ c) Tem~: ~ · O~ On S~e Cimle ~ich Mo~: All Ye~. J, F, M, A, M. J, J. A, S. O, N, O 9) MITRE: Ust COMPON~ CAS ~ .~ ~M the~memost h~do~ 1) ~~ ~4 ~ /~ [ ] chemi~ ~m~ne~ or ~ AHM ~m~ne~ 2) [ CHEMICAL DESCRI~ION ~ 1) IN~NTORY STA~S: New~ Add,ion [ ] Re.sion { ] Deletion [ ] Che~ ffchemi~ ~ a NON ~DE 8~R~ -[ ] ~ 8~R~ [ ] ',~ Chemi~ Name: ~M [ ] CAS ~4) PHYSICAL & H~L~ PHYSICAL H~L~ [.~ H~D CA~GORIES Fire ~ Rea~ ( ] Sudden Relate of Pressure [ ] Im~e He~h (Ac~e) [ ] ~ He~ (Chron.) ( ] 6) PHYSICAL STA~ Solid [ ] Uquid ~ G~ [ ] Pure ~ Minute [ ] W~te [ ] R~ [ ] M~imumOmlyAmount: ~ ~ i~ [ ] ga [ } ~3 [ ~ Average Oaly Amount: ~ cu~es [ ] b) Pressure: Annu~ Amount: ~ c) Tem~r~um: ~gest Size Contmner: 7 ~ ~ Days On Site ~ Circle~ich Months: All Ye~, J, F, M, A, M, J, J, A, S, O, N, O 9) MITRE: Ust COMPONENT CAS · ~ AHM chemi~ com~nen~ or ~y ~M ~m~nenm 2) [ ] ,: 3) [ ] ~e~'~ un.er pen~ of law, ~at I have pe~on~ly ex~m~ ~ ~ f~/ii~ wi~ ~e mfoma~on su~m/~ on ~bmi~ info.ebon is ~e, accumm. ~d complain. ~~ · RI~ N~e & ~Ee of A~odz~ Com~ Represen~ve Sig~m BAKERSFil--- D CITY FIRE' DEPAR II/IENT' HAZARD13US MATERIALS INVENTORY Page_of--' CHEMI~ DESCRIPllON < 1)' INVENTORY STATU$: New~l~ Adttilion{ ] Revision[ i Deletion[ ] Ch~i'~c~l~,&NONr~.S~C~"r'[ ].,:TR~SEC~Lb"F [ ] 2) Gomrnon Name: ~.,.~i~-~"~' ~:>1 ~ 3) DOT * (oplim~) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARDCATEGQRIES Fire ~ Reac~ve[ ] SudclenReleaseofPreasure [ ] ImmediateHealt~(Acute) [ ] 5) WASTECLASS~FICATION ~.'7--1, (3-d==cod,~omDHSFor~80'~) USECODE ~ 6) PHYSICAL STATE Solid ( ] liquid [~ Gas [ ] Pure [ ] Mixture ( ] Waste ~ Radloaetivt [ ]. 7) AMOUNT AND TIME AT FAClE'Pf UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~'~'-- lbs [ ] gal ~ 1t3 [i a) Container:. Average Dally Amount: ~"~'- curies [ ] b) Pre~sure: Annual Amount: '7~OO c) Temper~um: ~r' Largest Size Container:. -~'-~" # Days On Site '"~' Circle Which Months: All Yea~, J, F, M, A, M, J, J, A, S, O, N, D 9) MIX'FURE: List COMPONENT CAS. ~(~ AHM the three most hazardous 1 ) ~4_.,t'~T~ <~, i <.... [ chemical components or any AHM components 2) [ ] CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New { ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (Ol~Xional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Re~stwe [ ] Sudden Release of Pressure { ] Immediate Health (Acute) [ ] Delayed Health (Chronm) [ ] 5) WASTE CLASSIFICATION (3-digit cocte from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Reclioemive [ ] 7) AMOUNT AND TIME AT FACIlITy UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gal [ ] ft3 [ ] a) Container. Average Dally Amount: curies [ ] b) Pressure: Annum Amount: c) Temperature: I=~rgest Size Container: # Days On Site Circle Which Months: All Year, J, F. M. A, M, J, J, A. S, O, N, 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ 10) Location ~er~fy uncter penaiiy of law, ttzat I have ~)ersonaily examined and am familiar wi~ 8~e infoma~on auOmi~teci on O~ia an(~ all ~,~,~, ~Dmitted information is true, accurate, and complete. I ~INT Name & 77tie of Autho~fzed Company Represente~v® Signature